European Respiratory Society/American Thoracic Society technical statement: standardisation of the measurement of lung volumes, 2023 update

Nirav R Bhakta¹, Aisling McGowan², Kathryn A Ramsey³, Brigitte Borg^{4

5}, Jana Kivastik⁶, Shandra Lee Knight⁷, Karl Sylvester^{8

9}, Felip Burgos¹⁰, Erik R Swenson^{11

12}, Kevin McCarthy¹², Brendan G Cooper¹³, Francisco García-Río¹⁴, Gwen Skloot¹⁵, Meredith McCormack¹⁶, Carl Mottram¹⁷, Charles G Irvin¹⁸, Irene Steenbruggen¹⁹, Allan L Coates²⁰, David A Kaminsky²¹

Affiliations

¹ Department of Medicine, University of California San Francisco, San Francisco, CA, USA nirav.bhakta@ucsf.edu.
² Department of Respiratory and Sleep Diagnostics, Connolly Hospital, Dublin, Ireland.
³ Wal-yan Respiratory Research Centre, Telethon Kids Institute, University of Western Australia, Perth, Australia.
⁴ Respiratory Medicine, Alfred Health, Melbourne, Australia.
⁵ School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
⁶ Department of Physiology, University of Tartu, Tartu, Estonia.
⁷ Strauss Health Sciences Library, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
⁸ Cambridge Respiratory Physiology, Cambridge University Hospital, Cambridge, UK.
⁹ Respiratory Physiology, Royal Papworth Hospital, Cambridge, UK.
¹⁰ Department of Pulmonary Medicine, Hospital Clinic, Institut d'Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), University of Barcelona, CIBERES, Barcelona, Spain.
¹¹ VA Puget Sound Health Care System, Seattle, WA, USA.
¹² Division of Pulmonary, Critical Care, and Sleep Medicine, University of Washington, Seattle, WA, USA.
¹³ Clario, Philadelphia, PA, USA.
¹⁴ Lung Function and Sleep, University Hospitals, NHSFT, Birmingham, UK.
¹⁵ Department of Respiratory Diseases, La Paz University Hospital IdiPAZ, Autonomous University of Madrid, CIBERES, Madrid, Spain.
¹⁶ Asthma and Chronic Cough Therapy Area, Chiesi, Cary, NC, USA.
¹⁷ Pulmonary Function Laboratory, Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA.
¹⁸ PFW Consulting LLC, Hayfield, MN, USA.
¹⁹ Department of Physiology and Biophysics, Larner College of Medicine, University of Vermont, Burlington, VT, USA.
²⁰ Pulmonary Function Department, Isala Hospital, Zwolle, The Netherlands.
²¹ Division of Respiratory Medicine, Dept of Pediatrics, Translational Research Institute, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.

PMID: 37500112
DOI: 10.1183/13993003.01519-2022

Free article

European Respiratory Society/American Thoracic Society technical statement: standardisation of the measurement of lung volumes, 2023 update

Nirav R Bhakta et al. Eur Respir J. 2023.

Free article

. 2023 Oct 12;62(4):2201519.

doi: 10.1183/13993003.01519-2022. Print 2023 Oct.

Authors

Affiliations

¹ Department of Medicine, University of California San Francisco, San Francisco, CA, USA nirav.bhakta@ucsf.edu.
² Department of Respiratory and Sleep Diagnostics, Connolly Hospital, Dublin, Ireland.
³ Wal-yan Respiratory Research Centre, Telethon Kids Institute, University of Western Australia, Perth, Australia.
⁴ Respiratory Medicine, Alfred Health, Melbourne, Australia.
⁵ School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
⁶ Department of Physiology, University of Tartu, Tartu, Estonia.
⁷ Strauss Health Sciences Library, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
⁸ Cambridge Respiratory Physiology, Cambridge University Hospital, Cambridge, UK.
⁹ Respiratory Physiology, Royal Papworth Hospital, Cambridge, UK.
¹⁰ Department of Pulmonary Medicine, Hospital Clinic, Institut d'Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), University of Barcelona, CIBERES, Barcelona, Spain.
¹¹ VA Puget Sound Health Care System, Seattle, WA, USA.
¹² Division of Pulmonary, Critical Care, and Sleep Medicine, University of Washington, Seattle, WA, USA.
¹³ Clario, Philadelphia, PA, USA.
¹⁴ Lung Function and Sleep, University Hospitals, NHSFT, Birmingham, UK.
¹⁵ Department of Respiratory Diseases, La Paz University Hospital IdiPAZ, Autonomous University of Madrid, CIBERES, Madrid, Spain.
¹⁶ Asthma and Chronic Cough Therapy Area, Chiesi, Cary, NC, USA.
¹⁷ Pulmonary Function Laboratory, Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA.
¹⁸ PFW Consulting LLC, Hayfield, MN, USA.
¹⁹ Department of Physiology and Biophysics, Larner College of Medicine, University of Vermont, Burlington, VT, USA.
²⁰ Pulmonary Function Department, Isala Hospital, Zwolle, The Netherlands.
²¹ Division of Respiratory Medicine, Dept of Pediatrics, Translational Research Institute, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.

PMID: 37500112
DOI: 10.1183/13993003.01519-2022

Erratum in

"European Respiratory Society/American Thoracic Society technical statement: standardisation of the measurement of lung volumes, 2023 update." N.R. Bhakta, A. McGowan, K.A. Ramsey, et al. Eur Respir J 2023; 62: 2201519.
[No authors listed] [No authors listed] Eur Respir J. 2023 Nov 29;62(5):2251519. doi: 10.1183/13993003.51519-2022. Print 2023 Nov. Eur Respir J. 2023. PMID: 38035697 No abstract available.

Abstract

This document updates the 2005 European Respiratory Society (ERS) and American Thoracic Society (ATS) technical standard for the measurement of lung volumes. The 2005 document integrated the recommendations of an ATS/ERS task force with those from an earlier National Heart, Lung, and Blood Institute workshop that led to the publication of background papers between 1995 and 1999 and a consensus workshop report with more in-depth descriptions and discussion. Advancements in hardware and software, new research and emerging approaches have necessitated an update to the 2005 technical standard to guide laboratory directors, physiologists, operators, pulmonologists and manufacturers. Key updates include standardisation of linked spirometry, new equipment quality control and validation recommendations, generalisation of the multiple breath washout concept beyond nitrogen, a new acceptability and grading system with addition of example tracings, and a brief review of imaging and other new techniques to measure lung volumes. Future directions and key research questions are also noted.

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Conflict of interest statement

Conflict of interest: D.A. Kaminsky and K. McCarthy report speaker fees from MGC Diagnostics. C.G. Irvin is a member of a scientific advisory board for MGC Diagnostics. C. Mottram is a paid consultant to Vitalograph Ltd, receives royalties from Elsevier for a book on pulmonary function testing, and honoraria from MGC Diagnostics. F. Burgos is on the scientific advisory board of MGC Diagnostics. K. Sylvester reports consulting payments from Aseptika and honoraria from Chiesi, NDD, and Royal Brompton and Harefield NHS Trust. A.L. Coates reports honoraria from the Ontario Lung Association for teaching courses. B. Borg reports royalties from Wiley-Blackwell Publishing for authorship of a book on interpreting lung function, and member of the executive branch of the Thoracic Society of Australia and New Zealand. G. Skloot is employed by Chiesi. All of the preceding potential conflicts are outside the submitted work. E.R. Swenson, M. McCormack, F. García-Río, I. Steenbruggen, B.G. Cooper, K.A. Ramsey, J. Kivastik, A. McGowan, S.L. Knight and N.R. Bhakta have no potential conflicts of interest to report.

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European Respiratory Society/American Thoracic Society technical statement: standardisation of the measurement of lung volumes, 2023 update

Affiliations

European Respiratory Society/American Thoracic Society technical statement: standardisation of the measurement of lung volumes, 2023 update

Authors

Affiliations

Erratum in

Abstract

Conflict of interest statement

MeSH terms

LinkOut - more resources

Full Text Sources

Medical